
GETTING
started
C
ongratulations on taking the first step to living the life you desire!
To begin, please fill out the questionnaire below. Once completed, you will be directed to a link to book your appointment with a $100 deposit.
PERSONAL DETAILS
HEALTH
Clients under the age of 18 MUST have a consent form signed. CLICK HERE to fill out that form now.
WAIVER, TERMS & CONDITIONS
Please read these terms and conditions which apply to the provision of my professional services and sign below. By signing below and making an appointment, you are agreeing to the following terms and conditions.
The Use of RTT®
RTT® uses hypnosis to work with conditions or change habits. The purpose of RTT® is to develop and implement strategies to help you, the Client, reach personally identified goals.
The starting point for an RTT® session involves reviewing the issue you are experiencing and identifying a desired outcome. Throughout the therapeutic relationship, the RTT® Therapist will engage the Client in very direct and personal conversations and induce hypnosis to allow access to the Client’s subconscious mind.
After this, the RTT® Therapist may:
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Lead you into a deeply relaxed state – most people feel refreshed and relaxed.
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Review memories of events that were the root cause of the issue you are experiencing.
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Use methods to help you towards your desired outcome – for example, make suggestions to your subconscious that you decide upon, such as suggesting that you do not want to carry out a particular habit.
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Gradually bring you out of the trance-like state. (After which, most people feel refreshed and relaxed.)
You are fully in control when under hypnosis and do not have to take on the RTT® Therapist’s/ Practitioner’s suggestions if you do not want to. If necessary, you can bring yourself out of the hypnotic state. Hypnosis does not work if you do not want to be hypnotized.
Do not use RTT® if you have psychosis or if you have been diagnosed with a personality disorder, such as bipolar disorder, as it could make your condition worse.
RTT® does not guarantee any success.
During the RTT® process, there may be reason to review some unpleasant memories or experience some uncomfortable emotions. It is acknowledged that making personal changes in behavior, thinking and emotions through RTT® sometimes requires learning by trial and error, and so some confusion or setbacks in the process may occur.
You (the Client) acknowledge and agree to accept these potential risks.
You should seek the advice of a qualified medical practitioner before commencing RTT® if you have any questions or concerns related to your mental or physical health, physical fitness, or medical conditions.
Please note: You should not stop or alter any medication or treatment you are currently receiving without the prior consent of your doctor or mental health advisor.
Our Therapeutic Relationship
The purpose of the therapeutic relationship is to empower you and support you to achieve your desired outcome and goals through RTT® and to help you identify and overcome the blocks that have held you back in your life.
Client’s Responsibilities
As your hypnotherapist, I will encourage you to take responsibility for setting your own agenda and ask that you:
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Focus on what you want (not on what you don’t want).
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Be reliable in keeping your appointment(s).
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Listen to your personalized audio for a minimum of 21 days.
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Be honest and open in your conversations with me.
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Be open to feedback and constructive challenge as and when appropriate.
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Be 100% committed to taking responsibility for your own development, decisions, choices and actions, and take the time to participate fully.
RTT® Therapist Responsibilities
What you can expect from me is to:
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Be 100% committed to empowering you and supporting you towards achieving your transformational goals.
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Keep all appointments and be present for you in sessions.
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Actively listen and help you explore your ideas, thoughts, beliefs, values, feelings and behaviors, without imposing my own.
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Be empathic and non-judgmental.
Rapid Transformational Therapy®️ (RTT®️) Code of Ethics
As a hypnotherapist, I abide by the Rapid Transformational Therapy®️ (RTT®️) Code of Ethics and standards of behavior and at all times will act with integrity, responsibility, competence, respect and professionalism.
Delivery of the RTT®️ Session
The RTT®️ session can be held online over Zoom, or in person in my office.
Session Logistics
The dates and times of the RTT®️ sessions will be made by mutual agreement in advance of each session. The date and time for the next session will be scheduled at the close of each hypnotherapy session. The number of sessions required (this differs from person to person) will be discussed in the first session.
RTT®️ sessions can be rescheduled by either of us with at least 48 hours’ notice. In the event of a no-show or cancellation with less than 48 hours’ notice, the session may be forfeited unless there are extenuating circumstances.
If necessary, you can contact me at any time in between sessions via email or messaging apps, and I will respond to your messages within 24 hours of receipt.
Booking & Payment
In-person sessions: A non-refundable deposit of 50% of your session fee is payable at the time of booking your first in-person session. The balance of the fee is due at least 24 hours prior to the first session. No refunds will be issued for cancellations within 48 hours of the session appointment.
Cancellation, Rescheduling & Refunds
If you need to cancel or re-schedule a session, please provide as much notice as possible. Notification must be made via email, text or phone call at least 48 hours prior to an in-person session or 24 hours for an online session.
No refunds will be issued for cancellations within 48 hours of in-person sessions or 24 hours of online sessions.
Session fees are for my time and professional expertise and are not a guarantee of a successful outcome. Therefore, no refunds will be given for any sessions where you have attended and paid for the session.
Where a discount package or therapy program has been booked and paid for in advance, if you choose to discontinue your therapy process before attending all the sessions, a pro rata refund will be issued after deduction of the full standard session fee for any sessions you have attended.
All professional fees will be disclosed to you prior to booking. My professional fees are subject to review and may increase from time to time. You will always receive confirmation of the professional fees before booking.
Payment may be made online via credit/debit card, Venmo or Cash App, Checks will not be accepted without prior agreement.
Contact Between Sessions
Any contact between sessions will be by telephone, text or email during office hours. I will try my best to answer all correspondence within a 24hr period.
Medical or Psychological Conditions
I may ask questions about your medical history to establish any forewarning to treatment. This will also help to assess whether your health is affecting (or being affected by) the therapeutic goals you wish to achieve. Please update me of any medical changes during your course of therapy, or if you are returning to therapy after a period of absence.
Please note that I will be unable to offer my professional services if you suffer from epilepsy or any form of psychosis.
Age Restrictions
You must be at least 18 years old to participate in online sessions. Clients under the age of 18 years old must be accompanied by a parent or guardian and will be seen in-person.
Attending Your Sessions
Please ensure that you are available at your session start time. If you are running late, please let me know as soon as possible. I will do my best to make a full session available, however, as the ability to do this will depend on bookings after your session, this cannot be guaranteed.
Participation
I give Stephanie Borges full permission to hypnotize me and to use Rapid Transformational Therapy (RTT) knowing that by participating fully in the process and by listening to my personalized recording for 21 days as I play an important role in my overall success.
Deepening Process (in-person)
I hereby grant permission to Stephanie Borges to respectfully lift my arm, touch my shoulder, or rock my head during my Rapid Transformational session(s) in order to help facilitate the deepening process.
Audio Recording(s)
I give Alive Hypnotherapy full permission to make audio recordings that may include my voice. I understand that if a recording (or recordings) are made during or after my session(s), Alive Hypnotherapy retains full copyright over any forms of media that may be produced and distributed to me.
Hypnotherapy Recordings
Hypnotherapy recordings should not be listened to while driving, operating machinery or undertaking any other activity where concentration is required. Any recording provided is for your personal use only and must not be shared, lent, copied or sold under any circumstances.
Outcome of Sessions
The agreement to work on the issues presented by you in no way implies or guarantees the resolution of your presenting issue(s). No outcome can or will be guaranteed. However, I will always endeavor to use my best efforts and skills to work towards your goals and intended outcomes.
Confidentiality
All contact, including sessions, telephone conversations, texts and emails, will be conducted in confidence and may be recorded. Prior to any recording, your agreement will be sought. All recordings, conversations and notes will remain confidential, except in the following circumstances:
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Where you give permission for confidentiality to be broken
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Where I am compelled by a court of law
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Where the information is of a nature that confidentiality cannot be maintained, for example:
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The possibility of harm to yourself or others exists
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In cases of fraud or crime
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When minors (under 18 years old) are involved
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Where a referring GP or other healthcare professional requires a report. A copy of the report will be available on request.
Liability & Indemnity
Under no circumstances will Alive Hypnotherapy be liable for any damages, including without limitation, direct, indirect, incidental, special, punitive, consequential, or other damages (including without limitation lost profits, lost revenues, or similar economic loss), whether in contract, tort, or otherwise, arising out of the advice or information provided to you during professional services provided by Alive Hypnotherapy. In addition, you agree to defend, indemnify, and hold Alive Hypnotherapy harmless from and against any and all claims, losses, liabilities, damages and expenses (including legal fees) arising out of your participation in the professional services.
Governing Law
These terms and conditions and any other matters arising out of or in relation to these terms, shall be governed by and construed in accordance with the laws of Massachusetts, USA. You agree to submit to the exclusive jurisdiction of the USA courts to settle any dispute which may arise out of or in connection with these terms and conditions.
Terms & Conditions Updates
These terms and conditions are subject to revisions without notice. Please familiarize yourself with any amendments if you have re-started therapy with me after a long period of absence.
Data Protection
For my services, your personal data is collected, processed, used, and stored in accordance with the following privacy policy: CLICK HERE to review the Privacy Policy
By booking an appointment, you signify your acceptance of this Privacy Policy. If you do not agree to this policy, please do not book an appointment. The terms of this Privacy Policy may change from time to time without prior notice to you, so please check my website periodically for any changes.
Concerns & Complaints
If you have a concern or complaint regarding your therapy, please discuss this with myself in the first instance and I will endeavor to resolve the issue.
Statements of Understanding
By signing the Client Agreement, you agree to abide by the terms and conditions of the Client Agreement. You also agree with the statements below:
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I confirm that I have been advised by Alive Hypnotherapy of the scope of the therapies that she provides and give my full consent to receiving therapy sessions from Alive Hypnotherapy.
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I understand that results may vary from person to person and the agreement by Alive Hypnotherapy to work on the issues or problems presented by me, using whatever therapies are appropriate to my situation, in no way implies or guarantees the resolution of any presenting problems or issues.
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I understand that hypnotherapy or any other therapy or information provided by Alive Hypnotherapy either in person or via telephone, email or internet, is not a replacement or substitute for medical, psychological or psychiatric treatment. If I have any doubts or concerns about my health, I will seek advice from an appropriate qualified healthcare professional.
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I declare that, if advised by Alive Hypnotherapy prior to or following any therapy sessions, to seek medical approval, I will consult with my PC, hospital consultant and/or other healthcare professional and gain the appropriate written approval for Alive Hypnotherapy prior to the next therapy session.
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I have been advised that I am free to terminate any or all sessions at any time.
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I understand that my level of motivation is vital in the therapy process, and I agree to participate to the best of my ability at all times, including making reasonable use of therapeutic suggestions during and between sessions, as well as listening to my recordings and/or carrying out other therapeutic tasks as appropriate.
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I have accurately and truthfully answered any questions and provided background information during the initial consultation and /or first therapy session and will continue to do so during any subsequent therapy sessions.
Your Signature*
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